Guest guest Posted January 19, 2012 Report Share Posted January 19, 2012 [image: Posterous Spaces] [image: Your daily Update] January 18th, 2012 Want to be happy? Stop trying to be perfect - CNN.com<http://ptmanagerblog.com/want-to-be-happy-stop-trying-to-be-perfect-cn> Posted 1 day ago by [image: _portrait_thumb] Kovacek, PT, DPT, MSA <http://posterous.com/users/1l1oCkDWEWjv> to PTManager<http://ptmanagerblog.com> [image: Like this post]<http://posterous.com/likes/create?post_id=94621669> Want to be happy? Stop trying to be perfect By *Brené Brown,* Special to CNN Let go of your prerequisites for worthiness and accept that you worthy of love, says expert. *Editor's note: Brené Brown is a research professor at the University of Houston Graduate College of Social Work. She has spent 10 years studying vulnerability, shame, authenticity and courage. She is the author of " The Gifts of Imperfection " <http://www.amazon.com/Gifts-Imperfection-Think-Supposed-Embrace/dp\ /159285849X>(Hazelden) and has a blog <http://www.ordinarycourage.com/> on courage. * *(CNN)* -- The quest for perfection is exhausting and unrelenting, but as hard as we try, we can't turn off the tapes that fill our heads with messages like " Never good enough " and " What will people think? " Why, when we know that there's no such thing as perfect, do most of us spend an incredible amount of time and energy trying to be everything to everyone? Is it that we really admire perfection? No -- the truth is that we are actually drawn to people who are real and down-to-earth. We love authenticity and we know that life is messy and imperfect. We get sucked into perfection for one very simple reason: We believe perfection will protect us. Perfectionism is the belief that if we live perfect, look perfect, and act perfect, we can minimize or avoid the pain of blame, judgment, and shame. We all need to feel worthy of love and belonging, and our worthiness is on the line when we feel like we are never ___ enough (you can fill in the blank: thin, beautiful, smart, extraordinary, talented, popular, promoted, admired, accomplished). Perfectionism is not the same thing as striving to be our best. Perfectionism is not about healthy achievement and growth; it's a shield. Perfectionism is a 20-ton shield that we lug around thinking it will protect us when, in fact, it's the thing that's really preventing us from being seen and taking flight. Living in a society that floods us with unattainable expectations around every topic imaginable, from how much we should weigh to how many times a week we should be having sex, putting down the perfection shield is scary. Finding the courage, compassion and connection to move from " What will people think? " to " I am enough, " is not easy. But however afraid we are of change, the question that we must ultimately answer is this: What's the greater risk? Letting go of what people think -- or letting go of how I feel, what I believe, and who I am? So, how do we cultivate the courage, compassion, and connection that we need to embrace our imperfections and to recognize that we are enough -- that we are worthy of love, belonging, and joy? Why we're all so afraid to let our true selves be seen and known. Why are we so paralyzed by what other people think? After studying vulnerability, shame, and authenticity for the past decade, here's what I've learned. A deep sense of love and belonging is an irreducible need of all people. We are biologically, cognitively, physically, and spiritually wired to love, to be loved, and to belong. When those needs are not met, we don't function as we were meant to. We break. We fall apart. We numb. We ache. We hurt others. We get sick. There are certainly other causes of illness, numbing, and hurt, but the absence of love and belonging will always lead to suffering. As I conducted my research < I realized that only one thing separated the men and women who felt a deep sense of love and belonging from the people who seem to be struggling for it. That one thing is the belief in their worthiness. It's as simple and complicated as this: If we want to fully experience love and belonging, we must believe that we are worthy of love and belonging. The greatest challenge for most of us is believing that we are worthy now, right this minute. Worthiness doesn't have prerequisites. So many of us have created a long list of worthiness prerequisites: • I'll be worthy when I lose 20 pounds • I'll be worthy if I can get pregnant • I'll be worthy if I get/stay sober • I'll be worthy if everyone thinks I'm a good parent • I'll be worthy if I can hold my marriage together • I'll be worthy when I make partner • I'll be worthy when my parents finally approve • I'll be worthy when I can do it all and look like I'm not even trying Here's what is truly at the heart of whole-heartedness: Worthy now. Not if. Not when. We are worthy of love and belonging now. Right this minute. As is. Letting go of our prerequisites for worthiness means making the long walk from " What will people think? " to " I am enough. " But, like all great journeys, this walk starts with one step, and the first step in the Wholehearted journey is practicing courage. The root of the word courage is cor -- the Latin word for heart. In one of its earliest forms, the word courage had a very different definition than it does today. Courage originally meant to speak one's mind by telling all one's heart. Over time, this definition has changed, and, today, courage is more synonymous with being heroic. Heroics are important and we certainly need heroes, but I think we've lost touch with the idea that speaking honestly and openly about who we are, about what we're feeling, and about our experiences (good and bad) is the definition of courage. Heroics are often about putting our life on the line. Courage is about putting our vulnerability on the line. If we want to live and love with our whole hearts and engage in the world from a place of worthiness, our first step is practicing the courage it takes to own our stories and tell the truth about who we are. It doesn't get braver than that. via cnn.com<http://www.cnn.com/2010/LIVING/11/01/give.up.perfection/index.html> Generational Intelligence - Ba Humbug!!<http://ptmanagerblog.com/generational-intelligence-ba-humbug> Posted 1 day ago by [image: _portrait_thumb] Kovacek, PT, DPT, MSA <http://posterous.com/users/1l1oCkDWEWjv> to PTManager<http://ptmanagerblog.com> [image: Like this post]<http://posterous.com/likes/create?post_id=94644219> [image: Rules_of_success]<http://getfile0.posterous.com/getfile/files.posterous.com/temp\ -2012-01-17/vrveoBkqtqvxfabugCbsvDbdxdDChoFoBzdgkwmtkxrIxIjmCjcettyjofin/Rules_o\ f_Success.jpg.scaled1000.jpg> Science-Based Medicine » Visceral Manipulation Embraced by the APTA<http://ptmanagerblog.com/science-based-medicine-visceral-manipulation> Posted 1 day ago by [image: _portrait_thumb] Kovacek, PT, DPT, MSA <http://posterous.com/users/1l1oCkDWEWjv> to PTManager<http://ptmanagerblog.com> [image: Like this post]<http://posterous.com/likes/create?post_id=94677662> Visceral Manipulation Embraced by the APTA<http://www.sciencebasedmedicine.org/index.php/visceral-manipulation-embrace\ d-by-the-apta/> Published by Harriet Hall<http://www.sciencebasedmedicine.org/index.php/author/harriet-hall/>under Energy Medicine<http://www.sciencebasedmedicine.org/index.php/category/energy-medicine/\ > ,Science and Medicine<http://www.sciencebasedmedicine.org/index.php/category/science-and-medi\ cine/> Comments: 15<http://www.sciencebasedmedicine.org/index.php/visceral-manipulation-embraced-\ by-the-apta#comments> Many years ago, when I was a naïve and gullible teenager, I read about a home treatment for constipation that involved rolling a bowling ball around on the abdomen. I was intrigued, thought it sounded reasonable, and might even have tried it myself if I had been constipated or had had a bowling ball to experiment with. Many decades later, with the advantages of a medical education and experience in science-based medicine and critical thinking, I encountered a treatment that reminded me of the bowling ball: visceral manipulation (VM), a practice developed by a French osteopath and physical therapist, Jean-Pierre Barral. This time I was far more skeptical. VM may be more sophisticated than a bowling ball, but its effectiveness and safety are equally dubious. Visceral manipulation (VM) will probably be unfamiliar to most of my readers, but its promoters say it has been adopted by osteopathic physicians, “allopathic” physicians, doctors of chiropractic, doctors of Oriental medicine, naturopathic physicians, physical therapists, occupational therapists, massage therapists and other licensed body workers. Its origin follows the path of many other alternative health systems. Like chiropractic, ear acupuncture, iridology, EMDR, and others, it was developed by one individual based on his personal observations and experiences without any kind of proper testing. Like the others, it started with a single patient: in Ignaz von Peczely’s case an owl with a spot on its iris, in D.D. Palmer’s case a janitor whose hearing allegedly improved after something was done to his back, in Barral’s case a patient who said he had felt relief from his back pain after going to an “old man who pushed something in his abdomen.” From a single case they extrapolated to a general belief about disease causation and a whole diagnostic and/or treatment system. *How is VM Done?* A video < Barral demonstrating his skills. He “listens with his hands” to detect tension (elsewhere the perception is designated as a thermal phenomenon). His diagnostic process begins by “listening with the hands” on the top of the patient’s head to determine the lateralization or general area of the problem. Then his hands “listen” to the areas of concern to further localize the problem. In this demonstration he detects something in the stomach which he says could be from decreased acidity or emotional tension. Then he listens to the skull repeatedly with both hands, does something simultaneously to the neck and abdomen, and finally he is satisfied that his hands are telling him that he has corrected the problem. *The Underlying Rationale* From the Barral Institute website<http://www.barralinstitute.com/articles/docs/stlwj_the_messages_of_your_\ body.pdf> : Therapists using Visceral Manipulation assess the dynamic functional actions as well as the somatic structures that perform individual activities. They also evaluate the quality of the somatic structures and their functions in relation to an overall harmonious pattern, with motion serving as the gauge for determining quality. The visceral system relies on the interconnected synchronicity between the motions of all the organs and other structures of the body. At optimal health, this harmonious relationship remains stable despite the body’s endless varieties of motion. But when one organ cannot move in harmony with its surrounding viscera due to abnormal tone, adhesions or displacement, it works against the body’s other organs, as well as muscular, membranous, fascial and osseous structures. This disharmony creates fixed, abnormal points of tension that the body is forced to move around. In turn, that chronic irritation paves the way for disease and dysfunction throughout many systems of the body – musculoskeletal, vascular, nervous, urinary, respiratory and digestive to name a few. Barral says the organs remember physical and emotional traumas, and *each organ is connected to specific emotions (!)*. He says “structural relationships” (peripheral, spinal, cranial) can self-correct after VM. He says that each internal organ rotates on a physiological axis. He says organ problems profoundly affect the spine. Each organ has a regular intrinsic oscillatory motion that follows lines of embryologic migration. This motion resembles, but is distinct from, the craniosacral rhythm [a delusion accepted only by craniosacral practitioners]… If the kidneys are moving out of phase, with one moving inferiorly while the other moves superiorly, this side bends the spine every 3.9 seconds. This small motion is like water drop torture for the spine, resulting in a repetitive motion injury. Strains in the connective tissue of the viscera can result from surgical scars, adhesions, illness, posture or injury. Tension patterns form through the fascial network deep within the body, creating a cascade of effects far from their sources for which the body will have to compensate. This creates fixed, abnormal points of tension that the body must move around, and this chronic irritation gives way to functional and structural problems. *Where’s the Evidence?* This is fantasy, not science. Adhesions do exist and certainly can cause problems, especially after surgery, but Barral claims they are widespread. For instance, he says they form around the heart in whiplash neck injuries. There is no evidence that they are responsible for symptoms of all the conditions Barral claims or are even present in those conditions, or that disrupting them improves health. And there is no evidence that Barral is actually disrupting adhesions and no reason to think that gentle manipulations like his could possibly do so. The Barral Institute website claims that<http://www.barralinstitute.com/about/vm.php>“Comparative Studies found Visceral Manipulation Beneficial for Various Disorders” including a long list of everything from whiplash to PTSD, from menopause to urinary reflux; but I have been unable to locate any such studies. I won’t even attempt any evaluation of the literature, because there’s nothing worth evaluating. The extensive bibliography provided on the website is not helpful. It provides links to popular articles by Barral, to published studies that are not pertinent to VM, and to a few uncontrolled pilot studies and case reports where the clinical significance of the reported changes is uncertain or where any observed improvement can’t be attributed to VM itself. The bibliography reveals that VM has suspicious bedfellows: it is related to energy medicine, craniosacral therapy, zero balancing, Upledger’s bizzare ideas,<http://www.quackwatch.org/01QuackeryRelatedTopics/cranial2.html>neurodeve\ lopmental therapies, and other dubious concepts. *Is It Safe?* I think we can reasonably assume that any abdominal manipulation sufficient to disrupt adhesions would risk tissue damage and internal bleeding, but VM is not likely to do that. As practiced, VM amounts to relaxation, suggestion, and gentle massage; so it is not likely to cause physical harm unless it replaces other, effective treatments. It’s more likely to cause harm to the wallet and to critical thinking. *The APTA Goes Astray* The American Physical Therapy Association is trying to establish evidence-based clinical practice guidelines.<http://www.jospt.org/issues/id.1407/article_detail.asp> The Women’s Health Section features a prominent link<http://www.womenshealthapta.org/index.cfm>to CME courses on visceral manipulation offered by the Barral Institute. J.W. Matheson, a physical therapist in private practice and a long-time APTA member, wrote the organization to protest their promotion of pseudoscience. He provided supporting documents and said, Visceral Manipulation is a pseudo-scientific practice that belongs outside of the field of physical therapy. The practice of visceral manipulation is not consistent with the vision and mission statements of the APTA. Schwoerer, the Director of Education, replied with an astonishing letter. Here are some of her more alarming statements: Our course offerings are based on the model of evidence informed practice, which Sackett defined as balancing clinical research with clinical experience and patient values. Some of our course offerings… were… based on extensive review of the literature and are clearly advertised as evidence based. Other aspects of physical therapy practice reflect the clinical experience of the physical therapist providing care and the values, which the patient views as critical to their healing process… some of these techniques have not been validated by the more rigorous clinical research protocol because we have yet to develop measurement tools that could undergo appropriate testing… Adhering to clinical research as the only valid evidence is a disservice to patients who have responded time and again in case studies to so-called “pseudoscientific” interventions and threatens to undermine future innovation in the field. The Board of Directors… embrace the instruction of visceral mobilization under the tenets of clinical experience and patient values. We disagree that this is pseudoscientific in nature but also recognize that clinical trials do not support its use and therefore do not advertise as evidence based. If individuals are not comfortable with the level of evidence supporting this coursework, there is no obligation to take it for any of the SoWH certificates or to sit for the WCS. In other words, “We don’t need no stinkin’ science! We support any treatment that can provide positive anecdotes. We believe the plural of anecdote is data. Instead of offering guidance, we’ll let our members sink or swim: we’ll make them responsible for knowing ahead of time how much evidence supports a treatment and deciding whether they believe it is sufficient to merit a personal decision to study it.” This is beneath contempt. I don’t think I need to elaborate. Another formerly respected organization has drunk the CAM Kool-Aid. via sciencebasedmedicine.org<http://www.sciencebasedmedicine.org/index.php/visceral-\ manipulation-embraced-by-the-apta/> It took me a while to determine if I was going to post this to PTManager. I suspect there will be a few more comments than usual. Fire Away! Doctors who give cash to patients for running late<http://ptmanagerblog.com/doctors-who-give-cash-to-patients-for-running> Posted 1 day ago by [image: _portrait_thumb] Kovacek, PT, DPT, MSA <http://posterous.com/users/1l1oCkDWEWjv> to PTManager<http://ptmanagerblog.com> [image: Like this post]<http://posterous.com/likes/create?post_id=94685473> Doctors who give cash to patients for running late by Pamela Wible, MD <http://www.kevinmd.com/blog/post-author/pamela-wible>| in Physician <http://www.kevinmd.com/blog/category/physician> | http://www.kevinmd.com/blog/?p=62107 " >no responses When Dr. Malia of Fairport, New York, runs behind schedule, he passes out five-dollar bills to everyone in the waiting room. And when Dr. Cyrus Peikari of Dallas, Texas canceled his appointments for a family emergency, he gave each patient 50 bucks for the inconvenience. Most doctors apologize. Few offer cash. Others get creative: Dr. Gwen Hanson of Bellevue, Washington gives out Starbucks cards; Dr. Sharon McCoy of Irvine, California, doles out movie passes; and I award gifts from a giant wicker basket by the door. As America inches toward patient-centered care, some doctors are leading the way. I transitioned from assembly-line to patient-centered medicine in 2004 when I invited citizens in Lane County, Oregon, to design their own clinic. I led town hall meetings, collected 100 pages of testimony, adopted 90% of the community’s feedback, and opened one month later. Our community clinic is thriving. But I’m always looking for new ideas. *Who is accountable for wait time?* Then my friend Elaine disclosed, “If I’m kept waiting, I bill the doctor. At the 20-minute mark, I politely tell the receptionist that the doctor has missed my appointment and at the 30-minute mark I will start billing at $47.00 per hour.” More often than not, she gets paid. I reported her story < on my YouTube news channel where it was picked up by CNN and over 11,000 other media outlets. Ultimately, Elaine’s waiting room remedy became the lead segment for a “Patients’ Bill of Rights” series on ABC World News. Why all the fuss? Patients, frustrated by excessive waiting, have had no immediate recourse. Until now. Amid the media frenzy, I met up with a patient named Pam. She billed two chiropractors and a neurosurgeon. The neurosurgeon waived her balance; both chiropractors paid up. One offered a bottle of wine from his private collection and promised prompt service upon arrival for future appointments — ahead of scheduled patients — because, he said, “*those* people don’t mind waiting.” Comments from news stories confirm Elaine and Pam aren’t unique. Raitt, a retired pharmacologist, writes: “Hurrah: I began to do that in 1968 when I had to take my infant daughter to a dermatologist. I called early, told the person who answered that my daughter had diaper rash and how I was treating her. We arrived at the office 15 minutes early, waited more than three hours, and when the doctor finally made her presence known she told me that my daughter had diaper rash, and wrote a prescription for the medication I had told them I was using. When I went home, I immediately invoiced the doctor for $75.00, ignored her bill, and compounded interest monthly. When my bill to her exceeded $100.00 I started action in small claims court. She paid me, and ever since I have always told doctors what I would do if kept waiting more than 15 minutes. Other than in cases of emergency, I have never been kept waiting.[1<http://www.jopm.org/perspective/narratives/2012/01/11/waiting-room-re\ medy-doctor-pays-for-delays-the-doctor%E2%80%99s-perspective/#footnote_1> ]” *From anger to empathy* We’ve all waited for the doctor. But why so long? Here’s the not-so-simple answer: Physicians cannot set, charge, or receive proper payment because government and insurance companies control reimbursement. In other words, there’s no free market for physicians who accept insurance. By boosting the volume of patients seen, they buffer the loss from low reimbursement, resulting in production-driven practices that pack up to five exam rooms per doctor to cover ever-increasing overhead. When physicians enter the exam room, they have no idea what multitude or complexity of problems they’ll encounter, nor the insurance hassles, paperwork, and phone calls they must endure to adequately care for the patient. Patients believe doctors are insulated from economic distress. Yet with high medical school debt, low reimbursement, and 24/7 call duty, some physicians earn less than minimum wage. I know doctors who can’t afford their own health insurance; fortunately, their kids meet federal poverty guidelines and are enrolled in Medicaid. Recently, a physician friend confided she’s defaulting on her student loans. For the promise of loan repayment, some doctors take government jobs with no control over their schedules. Myria Emeny, MD wrote in an email (June 2011): “When I worked for the community health center it was mandatory that a patient be put in every 15 minutes — didn’t matter if they needed an interpreter or were elderly and very sick or disabled and needed extra explanations — didn’t matter. Patients waited for me two or more hours … I worked through lunch and continued past the time my nurse left.” After years of self-neglect from working inhumane schedules, doctors burn out. *Doctors taking responsibility: Victims no more* In our automated and alienated medical system, both patients and doctors feel dehumanized and commoditized. Will invoicing doctors solve the problem? While it’s easy to blame doctors, patients bear some responsibility. One person writes: “Wait time too long? Leave. Can’t leave? Then stay. Your doctor is running late but can’t bend time. And frankly, if you show up for an appointment still fat, smoking, and not taking your meds, then you’re wasting their time, and everyone else’s time in the waiting room. Maybe they should send you a bill.” In fact, the underlying issue is: We all must be responsible for our actions — and inactions. A patient named Colin challenges, “I have negative hope that lawyers and politicians in DC have the capacity to fix any one of the thousand problems with health care if physicians cannot come to a consensus on a ‘simple’ issue of should physicians bear responsibility for running late.” One physician admits, “At my old job I was routinely scheduled to have three patients in the 8:30 am time slot. There’s no way I could finish seeing all those people before the next three scheduled in the 8:45 am time slot.” A patient contends, “The fact that you have to see [12] people an hour because the insurance companies are screwing you doesn’t change that fact that long waits waste *our* time.” The truth is: when both patient and physician sign contracts with insurers, both carry equal responsibility. But physicians are more capable of fixing long waits than patients. As the business owner (or employee agreeing to work for a group), physicians consent to the creation of this situation and should be challenged to take responsibility for it. Dr. Malia took control of his medical practice by lowering volume and working a humane schedule. He says, “I do what I can in the part of the world I have some control over, most often just the 10 feet around me.” Imagine if we all did the same. *Informed scheduling* One solution: Offices must clearly inform patients what to expect *before*they arrive for an appointment. With open-hours scheduling, patients sign in and are treated on a first-come, first-served basis. With wave scheduling, patients are booked at the top of the hour and seen in order of arrival. Most common is stream scheduling — assigning one time slot per person, with overbooking for same-day appointments. Uninformed patients are often in for unpleasant surprises. After a long wait, one patient confides, “I started asking people what time their appointment was for and it turned out there were four of us with the same appointment time. I switched doctors.” While informed scheduling may seem to be a simple fix, it’s also a threat to standard operations, as many practices maximize efficiency and benefit financially by having people wait for free. *Just a little respect between doctors and patients* Most physicians are compassionate and caring. But one woman recalls waiting in the exam room for almost two hours while her doctor was “calling all his friends on the phone and telling them about his fabulous Florida deep-sea fishing trip” It’s basic: mutual respect is a prerequisite for a healing relationship. José, a physician, shares a personal anecdote. Pulled over by a police officer on the way to the doctor’s office, José’s uncle was five minutes late for his appointment. The administrator told him it didn’t matter why he was late and to expect a bill for not showing up on time or canceling within 24 hours. He rescheduled for the following day and waited two hours in the exam room for the doctor. No apologies were made. José summarizes, “This lack of respect is what gives many of us a bad name, making patients feel like we think we are superior to them and think that our time is more valuable than theirs, alienating us from our patients.” Doctors have hundreds of reasons why they run behind and claim it’s never due to lack of respect for patients. Yet many offices charge patients late, no-show, or cancel fees, while physicians miss appointments with no reciprocal financial obligation to patients. The assumption: patients don’t have as legitimate a reason for tardiness or missing appointments as physicians. *From paternalism to partnership* Some believe waiting for doctors is a fact of life. Not so. Whether physician or patient, here are five ways to avoid delays at the doctor’s office: 1. Schedule smartly. While physicians should select the scheduling method that works best for their workflow, patients should be offered informed consent when it comes to scheduling. Choose offices that allow reasonable time intervals for appointments. 2. Communicate clearly. Whether by mouth, text, or tweet, clinics must inform patients of delays. And patients should state the real reason for their appointment at the beginning of the visit. 3. Practice mutual respect. Patients: be on time, on task, and compliant with agreed upon treatment plans from previous visits to prevent schedule delays for other patients. 4. End the double standard. If offices charge patients no-show, cancelation, or late fees, patients have a right to invoice doctors who miss their appointments. 5. Vote with your feet. Physicians and patients have choices. Dislike how you are treated at a medical clinic? Find another clinic. Fed up with insurance? Bypass third parties with cash. All across America, doctors are using their energy, creativity, and love of medicine to create medical sanctuaries for patients. Celebrate what works. via kevinmd.com<http://www.kevinmd.com/blog/2012/01/doctors-give-cash-patients-runni\ ng-late.html> Henry Ford Macomb Hospital in Warren to close March 31<http://ptmanagerblog.com/henry-ford-macomb-hospital-in-warren-to-close> Posted 1 day ago by [image: _portrait_thumb] Kovacek, PT, DPT, MSA <http://posterous.com/users/1l1oCkDWEWjv> to PTManager<http://ptmanagerblog.com> [image: Like this post]<http://posterous.com/likes/create?post_id=94709885> Henry Ford Macomb Hospital in Warren to close March 31 Health system says it wants to reopen building as rehabilitation center Published On: Jan 17 2012 11:46:36 AM EST Health System announced Tuesday that it will close its Warren hospital on March 31 with the intent to convert the facility, with a partner, into a Midwest destination site for advanced inpatient and outpatient rehabilitation services. HFHS said it was pursuing plans to work with a nationally recognized organization in this specialty and that a request for proposal will be issued to rehabilitation organizations next month. The new rehabilitation center could open within the next year to 18 months at the Warren hospital. The health system said that although it had remained financially strong, the Warren hospital had lost more than $70 million over the last five years. Market share during this period has been between 4 and 6 percent, with inpatient occupancy rates consistently averaging below 50 percent at the 203-bed hospital. Return on investment has been negatively impacted by the economic climate in southeast Michigan, declining reimbursement and uncompensated care. The decision was also based on the availability of other hospitals in the market area, and Henry Ford Health System’s commitment to both financial stewardship and appropriate patient access throughout southeast Michigan. Recognizing the impact the decision will have on patients, community members, employees and physicians, Henry Ford Health System will: - Notify existing and former patients of the availability of health resources within the System and community, of medical records access and of care transition plans. - Place as many of the approximately 700 full- and part-time hospital employees into open positions within Henry Ford Health System facilities, and provide financial and job placement support to those not reassigned. - Continue to offer a wide range of primary care, specialty and community outreach services in the Warren area through our physician offices and medical centers. - Encourage patients and others in the community who have questions or comments to visit HenryFordMacomb.com/WarrenPatients, or call . “Henry Ford is committed to transferring as many affected employees as possible into open positions,” says Bob Riney, president and COO of Henry Ford Health System. “Hiring external candidates has been put on hold, and the Warren staff will be given top priority for transferring into the 800+ open positions within Henry Ford. We expect to successfully place the majority of our employees.” Henry Ford Macomb Hospital – Warren opened in 1966 as Bi-County Community Hospital. [image: App] On the go? *Download Posterous Spaces* for your phone <http://posterous.com/mobile> Sent by Posterous. Is this spam? Report it here<http://posterous.com/email_subscriptions/hash/gspsqucxgqviGogjvCufJwAxBxkgm\ H>. Manage or unsubscribe email subscriptions<http://posterous.com/email_subscriptions/hash/gspsqucxgqviGogjvCuf\ JwAxBxkgmH>. Other questions? We’d love to help. <http://help.posterous.com> Quote Link to comment Share on other sites More sharing options...
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